{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:49:49Z","timestamp":1790394589065,"version":"4.1.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100023251","name":"VID Specialized University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100023251","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Rheumatol Int"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>To examine changes in symptoms and health status in patients with fibromyalgia (FM) 24 months after participating in the mindfulness-based group-program, the Vitality Training (VTP), followed by physical exercise counselling. Seventy-six participants, mean age (range) 43 (26\u201352), females 69 (91%), diagnosed with FM according to the ACR 2011-criteria received the VTP in a previous randomised controlled trial. Control group participants could receive the VTP after a 12-month observation period, therefore only data from the intervention group were analysed in the present study. Self-reported data were collected electronically at baseline, 3, 12 and 24 months. Outcomes were patient global impression of change (PGIC), FM-severity, i.e. widespread pain (WPI) and symptom severity (SSS), pain, fatigue, sleep quality, psychological distress, motivation and barriers for physical activity, mindfulness and work participation. Trends across time-points were analysed using mixed models for repeated measurements. At 24-months, 48 (56.5%) participants responded, 94% female, median (range) age 46 (28\u201354), symptom duration 12 (5\u201333) years. Seven participants reported much\/very much better on the PGIC; 21 (44%) reported no change\/minimal improvement. Improvements were observed in WPI (-1.9, ES 0.4), SSS (-1.2, ES 0.6), fatigue (-0.8, <jats:italic>p<\/jats:italic>\u2009=.014) and self-efficacy for physical activity (1.4, ES 0.4). There was a significant trend of reduced WPI, SSS, pain and fatigue across the four time-points, but no additional improvements from 12 to 24-month follow-up. Participants who had completed the VTP demonstrated small to moderate improvements in symptom burden and FM-severity from baseline to 24-month follow-up. Trial registration number: ISRCTN96836577 <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"10.1186\/ISRCTN96836577\" ext-link-type=\"doi\">https:\/\/doi.org\/10.1186\/ISRCTN96836577<\/jats:ext-link>, prospectively registered 12.07.2016.<\/jats:p>","DOI":"10.1007\/s00296-024-05778-z","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T13:29:45Z","timestamp":1736256585000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Can mindfulness have long-term impact on patients with fibromyalgia? A two-year prospective follow-up study of a mindfulness-based intervention"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6882-221X","authenticated-orcid":false,"given":"Heidi A.","family":"Zangi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4955-4250","authenticated-orcid":false,"given":"Trond","family":"Haugmark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5442-902X","authenticated-orcid":false,"given":"Sella Aarrestad","family":"Provan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"issue":"3","key":"5778_CR1","doi-asserted-by":"publisher","first-page":"186","DOI":"10.55563\/clinexprheumatol\/i19pig","volume":"130","author":"P Sarzi-Puttini","year":"2021","unstructured":"Sarzi-Puttini P, Giorgi V, Atzeni F et al (2021) Fibromyalgia position paper. Clin Exp Rheumatol 39 Suppl 130(3):186\u2013193. https:\/\/doi.org\/10.55563\/clinexprheumatol\/i19pig","journal-title":"Clin Exp Rheumatol 39 Suppl"},{"issue":"2","key":"5778_CR2","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1136\/annrheumdis-2016-209724","volume":"76","author":"GJ Macfarlane","year":"2017","unstructured":"Macfarlane GJ, Kronisch C, Dean LE et al (2017) EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 76(2):318\u2013328. https:\/\/doi.org\/10.1136\/annrheumdis-2016-209724","journal-title":"Ann Rheum Dis"},{"key":"5778_CR3","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.copsyc.2018.12.014","volume":"28","author":"JM Greeson","year":"2019","unstructured":"Greeson JM, Chin GR (2019) Mindfulness and physical disease: a concise review. 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Approval was granted by the Regional Committee for Medical and Health Research Ethics (2015\/2447\/REK s\u00f8r-\u00f8st A 04\/02\/2016). Written informed consent was obtained from all participants before inclusion in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Data are available on request to the corresponding author.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Open data sharing note"}},{"value":"I confirm that my institution VID Specialized University (VID vitenskapelige h\u00f8gskole) has an Open Access agreement with Springer Journals.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Open access funding note"}},{"value":"Zangi HA, Haugmark T, Provan S Aa, Hagen KB. High symptom burden and limited changes in fibromyalgia patients\u2019 health status two years after participation in a multicomponent rehabilitation programme. DOI: .","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Note about related congress abstract publication"}},{"value":"The authors have no competing interests to declare that are relevant to the content of this article.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"19"}}